Provider Demographics
NPI:1316265572
Name:NORWOOD, SHAWNNA M (RN)
Entity type:Individual
Prefix:
First Name:SHAWNNA
Middle Name:M
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5559 OLD BLUE ROCK RD
Mailing Address - Street 2:#174
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-2761
Mailing Address - Country:US
Mailing Address - Phone:513-919-9286
Mailing Address - Fax:513-245-1455
Practice Address - Street 1:5559 OLD BLUE ROCK RD
Practice Address - Street 2:#174
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-2761
Practice Address - Country:US
Practice Address - Phone:513-919-9286
Practice Address - Fax:513-245-1455
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 233309163WC0400X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management